With millions of jobs lost nationwide, many have found themselves not only losing their homes but also their health care coverage. This has led to more than 50 million Americans being uninsured, several million more than was the case just a few years ago. This rise has been coupled with an increased demand for psychiatric services, especially emergency and crisis services. Our outpatient clinics have historically served Georgia's uninsured indigent population, but staff are now seeing much greater diversity in the patient base. Our waiting rooms have teachers, business people, and academics sitting alongside our indigent patients, and in this economy some of those professionals may be indigent as well. Diversification in the patient population has presented new challenges for residents who now encounter different patient expectations, ideas, and concerns.